BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    9800

    MDR report key: 3874672 · Received April 24, 2014

    Report

    Report Number
    1720753-2014-03635
    Event Type
    Malfunction
    Date Received
    April 24, 2014
    Date of Event
    March 19, 2014
    Report Date
    April 24, 2014
    Manufacturer
    GE OEC MEDICAL SYSTEMS (SLC)
    Product Code
    JAA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A GE SERVICE REPRESENTATIVE PERFORMED AN ONSITE INVESTIGATION. THE DISPLAY ADAPTER PCB, IMAGE PROCESSOR PCB AND VIDEO CONTROLLER PCB WERE EVALUATED AND REPLACED. THE SYSTEM WAS TESTED AND FOUND TO BE WORKING AS INTENDED AND RETURNED TO SERVICE.

    Description of Event or Problem · 1

    THE CUSTOMER REPORTED IMAGE QUALITY ISSUES. FURTHER INFORMATION WAS RECEIVED FROM THE FIELD SERVICE REPRESENTATIVE INDICATING THAT THE FLUOROSCOPIC IMAGE WAS USABLE. NO PATIENT DEATH OR SERIOUS INJURY WAS REPORTED RELATED TO THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    248575 9800 FLUOROSCOPIC X-RAY JAA GE OEC MEDICAL SYSTEMS (SLC) 9800

    Patients

    Seq Age Sex Outcome Treatment
    1